Individual
ABAS TAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N 14TH ST, #840, SAN JOSE, CA 95112
(408) 292-1722
Mailing address
25 N 14TH ST, #840, SAN JOSE, CA 95112
(408) 292-1722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A35954
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A35954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A359540
—
CA
Enumeration date
05/23/2006
Last updated
09/11/2025
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